Malnutrition
Conditions
Brief summary
This is a prospective, observational study for assessing malnutrition risk and its characteristics among children aged 1 to 5 living in under-resourced communities in Colombia. There is also a qualitative component that seeks to gain caregiver, community health worker (CHW), public health professional (PHP), and non-for-profit organization (NGO) insights related to malnutrition risk.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
Quantitative Inclusion Criteria: * Children aged 1-5 years * Children's legal guardian agrees to participate in the study * Full term pregnancy * Residence in study area attending Children International (NGO) centers Quantitative
Exclusion criteria
* Children who have current medical conditions requiring hospitalization: gastrointestinal tract infections or inflammatory bowel disease; active tuberculosis; acute hepatitis B or C; human immunodeficiency virus OR malignancy; cystic fibrosis; immunodeficiency syndromes, congenital abnormalities of the respiratory tract, such as lung and respiratory cilia; an unsuspected foreign body in the respiratory tract; asthma; and known metabolic disorders, renal impairment, or rheumatic diseases and diabetes, * Congenital condition * Children with disabilities such as cerebral palsy, autism spectrum disorder, neurodegenerative disorders * Children with chronic or acute infections e.g. HIV, malaria * Children who are taking medications or other agents that could potentially affect body weight, including diuretics, appetite stimulants, steroids, and growth hormones. * Children already enrolled in a nutrition program/intervention that includes a supplement Qualitative Inclusion Criteria: * NGO staff taking part in nutrition screenings * Caregivers taking part in nutrition screenings as part of this study * Community health workers (CHW) working with pediatric malnutrition risk * Public health professionals (PHP) working with pediatric malnutrition risk * Agrees to participate in focus group/survey Qualitative
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anthropometrics - Mid-Upper Arm Circumference (MUAC) | Baseline, 3 Months and 6 Months | Measured in mm |
| Anthropometrics - Height/Length | Baseline, 3 Months and 6 Months | Measured in cm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anthropometrics - Head Circumference | Baseline, 3 Months and 6 Months | Measured in cm |
| Nutrient Intake | Baseline and 6 Months | Caregiver completed 24-hour dietary recall |
| Anthropometrics - Weight | Baseline, 3 Months and 6 Months | Measured in kg |
| Pediatric Quality of Life Inventory | Baseline and 6 Months | A 23-item questionnaire rated 0 to 4 where higher scores indicate better health-related quality of life |
| World Health Organization Quality of Life Brief Version | Baseline and 6 Months | a 26-item caregiver completed questionnaire scored 0 to 100 where higher scores indicate higher quality of life |
| Healthcare Resource Utilization | Baseline and 6 Months | Caregiver completed questionnaire to obtain illness frequency, severity and related missed school/work days. Higher frequency, severity and missed days associated with greater healthcare utilization. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Focus Groups with NGOs, Caregivers, CHWs, PHPs | Baseline, 3 Months and 6 Months | Nutrition program feasibility discussion related to nutrition screening and program participation |
| Staff Insights Questionnaire | 6 Months | A non-statistical 6-item questionnaire completed by the NGO Staff to obtain feedback on their experience with nutrition screening |
| Process Outcomes | Baseline, 3 Months and 6 Months | Enrollment and adherence to nutrition program |
Countries
United States